Penetrating Marjolin's ulcer of scalp involving bone, dura mater and brain caused by blunt trauma to the burned area.

Marjolin's ulcer, which was first described more than 1.5 centuries ago, involves a rare malignant transformation of chronic scar tissue or ulcer. Marjolin's ulcer invading the skull, dura mater and the brain is quite exceptional. A case is presented of a patient with a massive Marjolin's ulcer arising in chronic scarring of the scalp following a fire burn 57 years previously. The tumour had invaded the skull, dura mater and the brain. The patient was treated surgically but died after 20 days. This report aims to highlight the importance of appropriate and expeditious initial wound management of scar ulcers of the scalp.